Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,925.01 / $7,920.26	Facility		$2,747.00	$3,925.01	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.96 / $2,161.19 / $8,495.53	Professional		$1,610.96	$2,161.19	$8,495.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.78 / $3,465.98 / $4,805.77	Professional		$2,199.78	$3,465.98	$4,805.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,558.64 / $3,630.60 / $4,132.95	Professional		$2,558.64	$3,630.60	$4,132.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,161.19 / $3,220.23 / $4,665.95	Facility		$2,161.19	$3,220.23	$4,665.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,622.15 / $3,285.78 / $5,212.51	Professional		$2,622.15	$3,285.78	$5,212.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,294.92 / $3,116.89 / $3,308.20	Facility		$2,294.92	$3,116.89	$3,308.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,161.19 / $3,545.36 / $4,646.56	Facility		$2,161.19	$3,545.36	$4,646.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,834.64 / $3,812.54 / $5,024.34	Professional		$2,834.64	$3,812.54	$5,024.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,631.32 / $8,631.32 / $8,631.32	Facility		$8,631.32	$8,631.32	$8,631.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,000.12 / $3,946.79 / $5,198.97	Professional		$3,000.12	$3,946.79	$5,198.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,505.89 / $3,373.31 / $5,141.42	Professional		$2,505.89	$3,373.31	$5,141.42